Pediatric fatality secondary to EDTA chelation.
BACKGROUND
Chelation therapy has emerged as a popular treatment modality to remove heavy metals that are thought to cause autism. We report a fatality that occurred as a consequence of chelation therapy for autism when the incorrect form of EDTA was administered.


METHODS
A five-year-old autistic male was being chelated in a physician's office. While receiving his third treatment he went into cardiac arrest. It was not determined until after the child's death that he had been given edetate disodium rather than edetate calcium disodium, causing profound hypocalcemia and triggering the cardiac events that led to his death.


CONCLUSIONS
In 1991, the CDC recommended using only edetate calcium disodium, not edetate disodium, to children because edetate disodium may induce tetany and possible hypocalcemia as illustrated in this case.


CONCLUSIONS
The use of chelation therapy in autistic children has not been validated and can have tragic consequences.
Baxter
Arla J
AJ
Pittsburgh Poison Center, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA.
Krenzelok
Edward P
EP
D001321:Autistic Disorder / Q000188:drug therapy / Q000209:etiology; D002118:Calcium / Q000097:blood; D002614:Chelating Agents / Q000008:administration & dosage / Q000009:adverse effects* / Q000737:chemistry / Q000627:therapeutic use; D002675:Child, Preschool; D004492:Edetic Acid / Q000008:administration & dosage / Q000009:adverse effects* / Q000737:chemistry / Q000627:therapeutic use; D017809:Fatal Outcome; D006323:Heart Arrest / Q000209:etiology; D006801:Humans; D006996:Hypocalcemia / Q000139:chemically induced* / Q000150:complications; D008297:Male; D008508:Medication Errors
D002614:Chelating Agents; D004492:Edetic Acid; D002118:Calcium